Cholangioscopic removal of post-cholecystectomy surgical clips migrated inside the common hepatic duct

Abstract Text This is the case of a 75-year-old man with cholangitis, due to the presence of a common hepatic duct stricture close to multiple surgical clips of previous laparoscopic cholecystectomy, complicated by biliary fistula requiring surgical and radiological interventions.To date, the gold standard treatment has been ERCP and clip extraction with balloon or retrieval basket. Nowadays, cholangioscopy may be more suitable in this case, since the direct view allows precise and targeted use of removal devices, with higher chance of clinical success.